Gender differences in effects of physical activity on quality of life and resource utilization
Gender differences in effects of physical activity on quality of life and resource utilization
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DOI：
10.1007/s11136-005-3033-2
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发表时间：
2006-04-01
影响因子：
3.5
通讯作者：
Fukuhara, S
中科院分区：
文献类型：
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作者：
Morimoto, T;Oguma, Y;Fukuhara, S
背景：在普通人群中，体力活动与健康相关的生活质量(HRQOL)相关，但其影响可能在性别上有所不同。此外，对资源利用的影响还没有得到很好的阐明。方法：对某乡镇进行以人群为基础的横断面调查，并于1年后进行随访。体力活动有两种测量方法：运动量和最大强度。通过多元回归模型评估体力活动与基线时的MOS简表-36(SF-36)，以及随后一年的住院、病假和用药之间的关系。结果：在符合条件的4018名成年居民中，3529名(62.4%)完成了问卷调查。更大的运动量与SF-36的所有领域都呈正相关：在基线100分中增加2.4-9.5，但最大强度与SF-36之间的关联仅在女性中观察到。在接下来的一年中，男性和女性的非处方药使用率都会增加20%-50%，但病假最大强度的影响对男性(相对风险，2.0-2.4)和女性(相对风险，0.3-0.5)的影响是不同的。结论：无论男女，体力活动量对HRQOL均有正向影响，但最大强度运动对HRQOL和资源利用的影响，女性优于男性。
Background: Physical activity is associated with health-related quality of life (HRQOL) in the general population, but the effects may be different between sexes. In addition, the effects on resource utilization are not well elucidated. Methods: A population-based cross-sectional survey was conducted in a rural town, and follow-up data were obtained after 1 year. Physical activity was measured in two ways: amount and maximum intensity. The association between physical activity and the MOS Short Form-36 (SF-36) at baseline, and hospitalization, sick days, and medications in the following year were assessed by multiple regression models. Results: Among 4018 adult residents eligible, 3529 (62.4%) had completed the follow-up questionnaire. A greater amount of exercise was positively correlated with all domains of the SF-36: 2.4-9.5 increase in 100-scale at baseline, but association between maximum intensity and SF-36 was observed in only women. It was also associated with a 20-50% higher utilization of over-the-counter drugs in the following year in both sexes, but the effects of maximum intensity on sick days had different directions for men (relative risk, 2.0-2.4) and women (relative risk, 0.3-0.5). Conclusion: The amount of physical activity had positive effects on HRQOL for both men and women, but women had more preferable effects of maximum intensity on HRQOL and resource utilization than men.